Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,897.79	Facility		$1,905.46	$2,570.40	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,162.28	Professional		$1,584.89	$1,905.46	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,754.23	Professional		$1,348.96	$1,737.80	$2,754.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $1,949.84	Facility		$1,659.59	$1,737.80	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,019.95 / $3,019.95	Facility		$758.58	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,630.78	Professional		$1,445.44	$2,187.76	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,951.21	Professional		$1,479.11	$1,905.46	$2,951.21